Liverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Liverpool, L9 7AL, UK.
School of Medicine, University of Liverpool, Cedar House, Ashton Street, Liverpool, L69 3GE, UK.
Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15.
Chopart injuries can be allocated into 4 broad groups, ligamentous injury with or without dislocation and fracture with or without dislocation, which must occur at the talonavicular joint (TNJ) and/or calcaneocuboid joint (CCJ). Chopart dislocations are comprised of pure-dislocations and fracture-dislocations. We aim to review the literature, to enable evidence-based recommendations.
A literature search was conducted to identify relevant articles from the electronic databases, PubMed, Medline and Scopus. The PRISMA flow chart was used to scrutinise the search results. Articles were screened by title, abstract and full text to confirm relevance.
We identified 58 papers for analysis, 36 case reports, 4 cohort studies, 4 case series and 14 other articles related to the epidemiology, diagnosis, treatment and outcomes of Chopart dislocations. Diagnostic recommendations included routine imaging to contain computed tomography (CT) and routine examination for compartment syndrome. Treatment recommendations included early anatomical reduction, with restoration and maintenance of column length and joint congruency. For both pure-dislocations and fracture-dislocations urgent open reduction and internal fixation (ORIF) provided the most favourable long-term outcomes.
Chopart dislocations are a complex heterogenous midfoot injury with historically poor outcomes. There is a relative paucity of research discussing these injuries. We have offered evidence-based recommendations related to the clinical and surgical management of these rare pathologies.
Chopart 损伤可分为 4 大组，即伴有或不伴有脱位的韧带损伤，以及伴有或不伴有脱位的骨折，这些损伤必须发生在距舟关节（TNJ）和/或跟骰关节（CCJ）。Chopart 脱位包括单纯脱位和骨折脱位。我们旨在回顾文献，为提供循证建议。
我们进行了文献检索，从电子数据库 PubMed、Medline 和 Scopus 中查找相关文章。使用 PRISMA 流程图来仔细审查搜索结果。通过标题、摘要和全文筛选文章以确认相关性。
我们确定了 58 篇用于分析的论文，其中 36 篇为病例报告，4 项队列研究，4 项病例系列研究和 14 篇其他与 Chopart 脱位的流行病学、诊断、治疗和结果相关的文章。诊断建议包括常规进行包含 CT 的影像学检查，以及常规检查是否存在间隔综合征。治疗建议包括早期进行解剖复位，恢复和维持柱长和关节一致性。对于单纯脱位和骨折脱位，紧急切开复位和内固定（ORIF）提供了最有利的长期结果。
Chopart 脱位是一种复杂的异质中足损伤，历史上预后不佳。目前关于这些损伤的研究相对较少。我们已经提供了有关这些罕见病变的临床和手术治疗的循证建议。
